Individual provider Active NPI

Jamie Gautreaux Monroe, PHARMD

  • Pharmacist
  • Lake Charles, LA
National Provider Identifier
1891043766
Registry record updated Aug 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19845 Issued in LA
Practice address
2000 Ryan St
Lake Charles, LA 70601-7314
Phone
(337) 439-4241
NPI assigned
Aug 26, 2012
Last updated
Aug 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19845 LA Primary

Addresses

Primary practice location

2000 Ryan St
Lake Charles, LA 70601-7314

Mailing address

5493 Lautrec St
Lake Charles, LA 70605-5282
Phone (337) 802-7098

Other identifiers 1

IdentifierTypeStateIssuer
1486OtherLAMEDICATION ADMINISTRAION NUMBER

Other names 1

  • Jamie Lynn Gautreaux Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19845LAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1891043766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 LAUTREC ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055282",
            "telephone_number": "337-802-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017314",
            "telephone_number": "337-439-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JAMIE",
        "middle_name": "GAUTREAUX",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-26",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "19845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICATION ADMINISTRAION NUMBER",
            "identifier": "1486",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "GAUTREAUX",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.